Choosing the Therapist Who Is Right For You

By: Julia Keys

It can be quite discouraging when you finally have a meeting with a mental health professional and you two just don’t “click”. Because therapy is a highly personal method of treatment, it is important to find a therapist that you feel understands you. Just like every patient is different, every therapist is different too.  When researching therapists, try to determine the way you like to approach your problems.

If you believe that there are unconscious processes that can help explain your emotions or behavior, then a psycho-dynamic therapist might be right for you. If you want to change the way you think in order to change certain behaviors of yours then you might want to give a cognitive behavioral therapist a try. If you are the type that is focused on the future then solution based therapy might be the right kind of treatment for you. If you want to work on your relationship with a significant other or your family, then maybe you could approach a family oriented systems therapist. If you feel as if none of these types of therapists seem right, then call potential therapists up and ask them to describe their approach until you find one that resonates with you.

Once you find a therapist that feels like a good fit, pay attention to how your sessions go. Do you feel like your therapist is a good listener? Do you feel safe in the presence of your therapist? Do you find your therapist nonjudgmental? Of course there are infinite factors that determine whether or not you and your therapist “click” or not, however the most important thing is to always check in with yourself and notice if the fit feels right. At Arista Counseling, we have a multitude of different therapists that can help you.

Sources:

https://www.psychologytoday.com/us/articles/200712/how-do-i-choose-the-right-doctor

https://www.psychologytoday.com/us/blog/freudian-sip/201102/how-find-the-best-therapist-you

Image Source:

https://www.google.com/search?hl=en&tbm=isch&source=hp&biw=1600&bih=757&ei=sf7aXMHwHoSxggeKhb_gCw&q=puzzle+piece+&oq=puzzle+piece+&gs_l=img.3..0l10.4603.7635..8063…0.0..0.78.818.13……1….1..gws-wiz-img…..0..35i39.xtTCM_r69gA#imgrc=EBrdS_aoYQlb8M:

Child Abuse and Its Effects

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Child Abuse and Its Effects

By: Vanessa Munera

 

Child abuse is when a parent or caregiver, acts upon or fails to act, causing injury, death, emotional harm, or risk of serious harm to a child. There are many different forms of child maltreatment which include physical abuse, neglect, sexual abuse, exploitation, and emotional abuse. In fact, many research studies have demonstrated over and over again that child abuse and neglect can result in permanent changes to the developing brain of a child. These changes in the brain structure can appear to be significant enough to potentially cause psychological and emotional problems later in adulthood. Changes can even result in physiological disorders and/or substance abuse.

The negative effects in the brain structure due to abuse and neglect are:

  1. Size in hippocampus is decreased. This is very important for learning and memory.

2. Size of the corpus callosum is decreased. This affects for emotion, impulses, and arousal, as well as communicating between the right and left hemispheres.

3. Size of the cerebellum is decreased. This can affect motor skills and coordination.

4.Decreased volume in the prefrontal cortex. This can affect behavior, balancing emotions and perception.

5. Too much activity in the amygdala, which is responsible for processing emotions and determining reactions to potentially stressful or dangerous situations.

6. Cortisol levels are either too high or too low, which can harm and cause negative effects to the body.

Child abuse can affect brain structure and disrupt chemical functions. However, child maltreatment can also affect the way a child behaves, socially interacts, and emotion regulation. These effects include:

  1. Feeling fearful most or all of the time
  2. Learning Deficits
  3. Unable to relax and constantly on alert, no matter the situation
  4. Can develop depression or an anxiety disorder, and/or both
  5. Social situations are more challenging
  6. Weak ability to process positive feedback
  7. Delay of developmental milestones in a timely fashion

 

If you or someone you love is struggling with the effects of child abuse, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling and Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/. 

References:

 

https://www.verywellmind.com/childhood-abuse-changes-the-brain-2330401

 

 

 

Eating Disorders During the Holidays

By: Maryellen Van Atter

Eating disorders are psychological disorders characterized by abnormal or disturbed eating habits. There are different kinds of eating disorders, but two prevalent ones are Anorexia Nervosa and Bulimia Nervosa. Individuals with Anorexia Nervosa restrict their food intake with the goal of reducing their weight, and have an intense fear of gaining weight. Individuals with Bulimia Nervosa engage in binge-eating sessions followed by self-induced vomiting, and experience a lack of control over their behaviors and a fear of weight gain. These disorders are very serious and can lead to physical health problems, such as poor circulation and muscle weakness. Eating disorders are also associated with other psychological disorders, such as depression and anxiety.

Eating disorders can be especially difficult during the holiday season. For many, the holiday season puts an additional emphasis on food. Holidays gatherings involve a plethora of food, and this can be extremely difficult for those with eating disorders. The emphasis of food can amplify their concerns and increase their symptom experience, worsening their mental health. This may lead to isolation or feelings of anxiety and guilt. While holidays should be about valuing the positive relationships in your life, this meaning can be lost when there is a focus on food.

There are many treatments that can help those with Anorexia and Bulimia manage their symptoms and establish healthy eating habits. One such treatment is psychotherapy, or talk therapy. There are many variations of this therapy which are successful at treating eating disorders. One is cognitive behavioral therapy (CBT) which is aimed at changing distorted thought patterns to result in healthy behavior. Another is acceptance and commitment therapy (ACT), where patients identify a value or goal and then commit to doing the actions which make that goal possible. When eating disorders are accompanied by symptoms of depression or anxiety, psychiatric medication may be prescribed to assist in the management of those symptoms.

Additionally, there are steps that one can take to prevent the relapse or worsening of disordered eating during the holiday season. If you or a loved one is suffering from an eating disorder, try to shift the focus during the holidays from food to activities, such as decorating, caroling, or playing games. This can ease the negative emotions of those suffering from eating disorders and help them feel more comfortable. It is also important to remind loved ones that it is okay to seek extra help during this difficult season.

If you or someone you know is struggling with disordered eating, Arista Counseling and Psychotherapy can help. Please contact us in Paramus, NJ at 201-368-3700 or in Manhattan, NY at 212-996-3939 to arrange an appointment. For more information about our services, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://www.nationaleatingdisorders.org/learn/by-eating-disorder/anorexia

https://www.nationaleatingdisorders.org/learn/by-eating-disorder/bulimia

https://centerforchange.com/coping-loved-ones-eating-disorder-holidays/

https://www.nationaleatingdisorders.org/types-treatment

https://www.sedig.org/physical-complications

 

CBT & DBT

Image result for cbt and dbt therapy

CBT & DBT

By: Vanessa Munera

When it comes to psychotherapy, there are different types. Psychotherapy is also known as “talk therapy”. According to the American Psychiatric Association, “Psychotherapy is a way to help people with a broad variety of mental illnesses and emotional difficulties”. This is when an individual speaks with a therapist or psychologist in a safe and confidential environment. During these talk sessions, you are able to explore and understand your feelings and behaviors, and develop coping skills. In fact, research studies have found that individual psychotherapy can be effective at improving symptoms in a wide array of mental illnesses, making it both popular and versatile treatment. There are different types of psychotherapy that can assist people. The most common types of psychotherapy are Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT).

Cognitive Behavioral Therapy or CBT, is a form of therapy that consists of focusing on exploring relationships among a person’s thoughts, feelings and behaviors. This type of therapy helps patients gain control over and accept unwanted thoughts and feelings so that they can better manage harmful or unwanted behaviors. CBT is usually used to treat conditions related to anxiety, depression, substance abuse, eating disorders, and social skills. As a matter of fact, Cognitive Behavioral Therapy has been shown to be an effective treatment for these conditions, as well as improving brain functioning. CBT can benefit people at any age, such as a child, adolescent, and adult.

Dialectical Behavioral Therapy, or DBT, is a type of therapy that was originally designed to help individuals with borderline personality disorder (BPD). Over time, this type of therapy has been adapted to help treat people with multiple different mental illnesses, but it is mostly used to treat patients who have BPD as a primary diagnosis. Although DBT is a form of CBT, it has one big exception: it emphasizes validation and accepting uncomfortable thoughts, feelings and behaviors instead of struggling with them. DBT allows patients to come in terms with their troubling thoughts, emotions, or behaviors that they have been struggling with. Studies of Dialectical Behavior Therapy have shown effective long-term improvements for those suffering from mental illness. DBT also helps lower the frequency and severity of dangerous behaviors, utilizes positive reinforcement to promote change, and helps individuals translate what they learned in therapy to everyday life.

 

References:

https://www.nami.org/learn-more/treatment/psychotherapy

https://manhattanpsychologygroup.com/difference-dbt-cbt-therapies/

https://www.psychiatry.org/patients-families/psychotherapy

Vape and E-Cigarette Addiction

By: Maryellen Van Atter

    

E-cigarette devices, such as the Juul, are more prevalent than ever. These devices were originally created to help established smokers stop smoking traditional cigarettes. However, because of their ease of use, portability, and sweet taste/smell, they have become popular with a generation of teens who have never smoked traditional cigarettes. This is concerning because of the plethora of health concerns surrounding the devices. They still contain nicotine, which is highly addictive. Nicotine is shown to raise blood pressure and spike adrenaline and heartrate, which can lead to increased risk of heart attack. Vaping has been linked to severe respiratory illnesses, and it may be related to pulmonary disease. It can worsen asthma, cause nausea, and irritate the mouth and throat.

While these physical health effects are often discussed, there is less discussion about the mental effects of nicotine addiction. Those who smoke have a lifetime prevalence of major depressive disorder which is more than double the prevalence in those who do not smoke. Some research has gone even farther and said that smoking may change neurotransmitter activity in the brain, leading to increased risk of depression. Despite this, the devices are still popular. While it is possible to vape something that does not contain nicotine, it is uncommon and teens often are not entirely aware of what is in what they are inhaling.

The percentage of teens that vape is increasing. Studies have found that 42.5% of high school seniors report vaping in their lifetime; this is dangerous behavior. However, it is important to remember that blame is unhelpful in helping a teen to kick their vaping habit. Similarly, reminding a teen about the risk of cancer and family addiction histories is not an effective way to get them to quit. Teens will respond best to calm conversations and discussions about how their vaping may be affecting them and the things that they consider important, such as school, extracurriculars, and sleep. Helping someone stop smoking is no easy job and it is not something that has to be done alone.

Addiction is a serious mental health concern and the sooner addiction can be treated, the better. There are both psychological and physical symptoms associated with addiction. There are many effective, FDA approved treatments for smoking cessation. These treatments include hypnotherapy, which uses guided relaxation and focused attention to change behaviors, cognitive behavioral therapy, which aims to discover the root of behaviors and works to change attitudes surrounding the behavior, psychotherapy, or talk therapy, and motivational interviewing, which aims to illuminate differences between a patient’s goals and their behaviors. There is no shame in seeking out therapy to assist in quitting smoking or helping a loved one quit smoking, and it is best to seek help as soon as the problem is recognized. The longer one waits, the more established addictive behaviors become.

 

If you or someone you know is struggling with a vaping addiction, Arista Counseling and Psychotherapy can help. Please contact us in Paramus, NJ at 201-368-3700 or in Manhattan, NY at 212-996-3939 to arrange an appointment. For more information about our services, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://www.safetyandhealthmagazine.com/articles/print/17921-number-of-teens-vaping-hits-record-high-survey-shows

https://www.psycom.net/mental-health-wellbeing/juuling-teenagers-vaping/

https://www.yalemedicine.org/stories/teen-vaping/

https://www.drugabuse.gov/publications/research-reports/tobacco-nicotine-e-cigarettes/what-are-treatments-tobacco-dependence

https://www.medscape.com/answers/287555-158503/what-is-the-association-between-nicotine-addiction-and-depression

https://psychcentral.com/lib/can-smoking-cause-depression/

 

Postpartum Depression

By: Maryellen Van Atter

          Postpartum depression is the experience of depressive symptoms (such as fatigue, changes in eating habits, and a loss of interest in activities once found enjoyable) after giving birth. Though commonly known as postpartum depression, it is now often referred to by the new name of peripartum depression. This name change indicates that the depression can onset during pregnancy or after childbirth. In addition to symptoms of depression, parents may also suffer from feelings that they are a bad parent, fear of harming the child, or a lack of interest in the child. It is also important to note that both men and women can suffer from peripartum depression; fathers may struggle with the changes that come along with a new child, and the symptoms of peripartum depression are not contingent on giving physical birth to a child. It is estimated that 4% of fathers experience peripartum depression in the first year after their child’s birth and that one in seven women will experience peripartum depression.

            Peripartum depression is different from the ‘baby blues’. Many new mothers will feel despondent, anxious, or restless in the first week or two after giving birth; this is due to the variety of biological, financial, and emotional changes which occur after having a child. This is called the baby blues. However, these feelings will not interfere with daily activities and will pass within ten days. If these symptoms persist, or if they do interfere with daily activities and functioning, it is likely that the problem is something more serious such as peripartum depression. It’s important to seek treatment for these symptoms as soon as you’re aware of them. Many parents feel a stigma against reporting these feelings, but this should not be the case: experiencing peripartum depression does not mean that you are a bad parent or that you do not love your child. It is a psychological condition which many people experience and it can be resolved with proper treatment.

Peripartum depression can be treated through therapy and through medication. Common treatments include psychotherapy (also known as talk therapy), cognitive behavioral therapy, and antidepressant medication. Medication should always be managed by a professional, especially if being administered to a mother who may be breastfeeding. These treatments have been proven effective in many studies and are able to help with symptoms of peripartum, or postpartum, depression.

 

If you or someone you know is struggling with peripartum depression, Arista Counseling and Psychotherapy can help. Please contact us in Paramus, NJ at 201-368-3700 or in Manhattan, NY at 212-996-3939 to arrange an appointment. For more information about our services, please visit http://www.counselingpsychotherapynjny.com/

 

Sources:

https://www.aafp.org/afp/2016/0515/p852.html

https://www.psycom.net/depression.central.post-partum.html

https://www.webmd.com/depression/postpartum-depression/news/20190320/fda-approves-first-drug-for-postpartum-depression#2

https://www.webmd.com/depression/postpartum-depression/understanding-postpartum-depression-treatment#3

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3039003/

https://www.psychiatry.org/patients-families/postpartum-depression/what-is-postpartum-depression

Obesity and Mental Health

           By: Maryellen Van Atter

      Obesity has become a global epidemic. It is a health problem which occurs when one has an abnormal percentage of body fat in relation to their height. Though obesity is often seen negatively, it is important to recognize that it is often not a self-inflicted condition which can result from a variety of factors including genetics, behavior, and environment.

Obesity can cause changes in your mental health. Some common psychological disorders which may be brought on by obesity include depression, eating disorders, anxiety, low self-esteem, and distorted body image. Some studies have found striking results, such as that those who are severely obese are 3-4 times more likely to suffer with depression. Despite these serious concerns, it may be difficult for those suffering from obesity to seek out mental health care because of the stigmatization of obesity.

Cognitive behavioral therapy is a therapy which changes client attitudes and behaviors by focusing on thoughts, beliefs, and way of thinking. This therapy is one of the most effective and well-known forms of therapy, and is effective in treating many mental health conditions including those associated with obesity. Additionally, family-based therapies have been shown to help treat obesity and assist clients, especially children with obesity. One of the goals is to develop healthy habits. Having a clear mind and good mental health is an important part of coping with obesity and changing your physical health.

 

If you or someone you know is struggling with the emotional effects of obesity, Arista Counseling and Psychotherapy can help. Please contact us in Paramus, NJ at 201-368-3700 or in Manhattan, NY at 212-996-3939 to arrange an appointment. For more information about our services, please visit http://www.counselingpsychotherapynjny.com/

 

Sources:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3233636/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3388583/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3065663/

https://psychcentral.com/lib/obhttp://www.jlgh.org/Past-Issues/Volume-4—Issue-4/Behavioral-and-Psychological-Factors-in-Obesity.aspxesity-and-mental-health

Anxiety and Bullying

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Anxiety and Bullying

By: Vanessa Munera

Being bullied is not an easy thing to handle. It can be a traumatic experience for teens that are being targeted. Those who are bullied experience impacts in their lives such as feeling lonely, anxious, isolated, and vulnerable. Unfortunately, when a bully moves on to the next target, these consequences of bullying linger longer for the victim. After prolonged exposure, victims of bullying can develop adverse effects. These victims will experience depression, eating disorders, and thoughts of suicide. In addition, victims of bullying can develop some sort of anxiety disorder. The top four major anxiety disorders victims of bullying can experience are Post-Traumatic Stress Disorder (PTSD), generalized anxiety disorder (GAD), panic attacks and social anxiety disorder.

  1. Post-Traumatic Stress Disorder (PTSD): this occurs after a traumatic or life-threatening event. PTSD can develop due to events such as a car accidents or losing a close relative. This disorder can also show up after repeated abuse or even bullying. Children who are bullied may experience nightmares, flashbacks, withdraw from others, or are easily startled. Kids, who undergo long term and abusive bullying, have increased chances of developing PTSD.

2. Generalized Anxiety Disorder (GAD): Kids with GAD are often tormented with worries and fear that distract them for their daily life activities. Those with generalized anxiety have a constant feeling that something bad is going to happen. This is not uncommon with victims of bullying. With GAD, physical symptoms may appear such as insomnia, stomachaches, fatigue, and restlessness.

3. Panic Attacks: Those who suffer from panic disorders must deal with unpredictable and repeated attacks. When suffering from a panic attack, the attack is usually with no warning and can cause physically symptoms. These symptoms include sweating, chest pain, and rapid or irregular heartbeats. In fact, a part of the brain called the amygdala plays a pivotal role in panic attacks. When left untreated, the sufferer will begin to avoid going out or things they once enjoyed, in order to prevent another panic attack.

4. Social Anxiety Disorder: People who suffer from social anxiety fear being humiliated or seen negatively by others. Those with this disorder often worry that the way they look or act cause others to mock them. This can cause sufferers to avoid social gatherings to avoid being humiliated. In fact victims of bullying often develop social anxiety due to the repeated shame and public humiliation they experienced.

If you or a loved one appears to be suffering from an Anxiety Disorder, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can assist you. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, visit http://www.counselingpsychotherapynjny.com/

 

References:

https://www.verywellfamily.com/bullying-and-anxiety-connection-460631

https://www.stopbullying.gov/blog

 

 

PTSD Researcher Finds Link between Stress and Trauma

By Diana Bae

Rachel Yehuda, PhD, is a distinguished researcher and Director of Traumatic Stress Studies Division at the Icahn School of Medicine of Mount Sinai. She has conducted numerous prominent post-traumatic stress disorder (PTSD) studies and treatment. One of her most well-known studies researched Vietnam War combat veterans with PTSD and found that they had significantly lower cortisol levels than veterans without PTSD. Cortisol is a hormone that controls stress and although it is thought that more cortisol resulted in more stress, Dr. Yehuda showed that that is not the case. Thus, there needs to be a sufficient amount of cortisol to handle stress and reduce the risk of developing trauma. Now, Dr. Yehuda plans to test a drug, oral hydrocortisone, to see whether it can replicate the cortisol naturally produced in the body. If this drug is successful, it may prevent PTSD and other similar disorders.

Arista Psychological and Psychiatric Services understands the problems caused by PTSD and are dedicated to provide proper attention and treatment. If you or someone you know would like to set up an appointment for our counseling services, contact us at our offices in Paramus, NJ (201) 368-3700 or in Manhattan, NY (212) 996-3939. For more information, please visit our website https://www.counselingpsychotherapynjny.com/

Source: Inside, a publication of the Mount Sinai Health System, Issue: November 25 – December 15, 2019;  Picture Source: http:// www. thesuburban.com/life/lifestyles/can-trauma-be-transmitted-intergenerationally-oct-dawson-college-peace-centre/article_ea2d7bb0-b063-11e7-aee3-5b0d013065f7.html, https:// askopinion.com/how-to-deal-with-ptsd-aka-post-traumatic-stress-disorder

Anger in Children

By: Maryellen Van Atter

Children experience anger. This is an expected part of growing up and learning how to navigate life’s situations. However, when anger becomes overwhelming and distressing for your child and for your family it may be indicative of a greater issue. If your child has trouble controlling their tantrums or frequently experiences anger, you may consider addressing the emotion and helping your child control their anger.

Though every child is different, there are some warning signs that your child’s anger is out of control. These include the child displaying behavior that is dangerous to themselves or others, the child’s teachers reporting that the behavior is out of control, the behavior alienating the child from their peers at school and preventing social interaction (birthday party attendance, etc.), and the behavior disrupting home life. Additionally, parents should observe if their child feels badly about him or herself as a result of their inability to control their anger. This illustrates that the child is experiencing distress because of the lack of control over their emotions, and is a sign that their anger is beyond what is normal or expected for a child their age.

There are many different causes for this behavior. These causes may include anxiety, learning disabilities, trauma, sensory processing issues, or general distress. Triggers are also an important thing for parents to recognize if they are worried about their child’s anger. Identifying triggers or situations which result in anger can help discern the cause of the anger and ways in which it can be effectively managed. Psychotherapy and cognitive behavioral therapy are two treatment methods which professionals use to help a child manage their anger and teach the child coping mechanisms and emotional regulation.

 

If you or someone you know is struggling with a child’s anger expression, Arista Counseling and Psychotherapy can help. Please contact us in Paramus, NJ at 201-368-3700 or in Manhattan, NY at 212-996-3939 to arrange an appointment. For more information about our services, please visit http://www.counselingpsychotherapynjny.com/

 

Sources:

https://www.yalemedicine.org/conditions/anger-issues-in-children-and-teens/

https://www.psychologytoday.com/us/blog/growing-friendships/201806/children-s-anger-management-strategies-work

https://www.greatschools.org/gk/articles/anger-overload/

https://childmind.org/article/is-my-childs-anger-normal/

Family Therapy: How to Maximize Your Experience

By: Maryellen Van Atter

Being a family member is a full time job, and sometimes it has the stress to match. Managing a family can be difficult and it is normal to sometimes feel lost and unsure of how to move forward. The goal of marriage and family counseling is to resolve these feelings and give family members the tools to communicate effectively with one another. It is not only a way to resolve problems, but an investment in the future wellbeing of your family.

A common reason for many to seek family therapy is behavioral problems of youth in the family. Research has shown that youth psychosocial problems are linked to the youth’s social systems, such as the family. By addressing concerns and miscommunications, youth often function better and learn healthy coping skills. Family therapy provides a safe space for all individuals to express their feelings with a trained professional who can mediate, interpret, and give plans for long term family success, rather than only resolving a specific problem.

Family is not limited to those who are genetically linked to you; it is often defined as anyone who plays a long term supportive role in one’s life. The support that family provides has an important role in keeping good mental health. Like many good things, family therapy is not always easy. Here are some tips to keep in mind to make it as beneficial as possible:

  • Give it a chance and be open to its success
  • Find a therapist who makes you feel comfortable
  • Have each family member prepare some questions or talking points prior to the session to ensure everyone gets to communicate

If you feel your family could benefit from family therapy, Arista Counseling and Psychotherapy can help. We have a wide network of professional help and experience. Please contact us in Paramus, NJ at 201-368-3700 or in Manhattan, NY at 212-996-3939 to arrange an appointment. For more information about our services, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://www.aamft.org/About_AAMFT/About_Marriage_and_Family_Therapists.aspx?hkey=1c77b71c-0331-417b-b59b-34358d32b909

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4490859/

https://healthypsych.com/family-therapy/